Cargando…
Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform
Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However,...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970166/ https://www.ncbi.nlm.nih.gov/pubmed/33795934 http://dx.doi.org/10.1177/1178632921994908 |
_version_ | 1783666381433077760 |
---|---|
author | Maass, Ruca Bonsaksen, Tore Gramstad, Astrid Sveen, Unni Stigen, Linda Arntzen, Cathrine Horghagen, Sissel |
author_facet | Maass, Ruca Bonsaksen, Tore Gramstad, Astrid Sveen, Unni Stigen, Linda Arntzen, Cathrine Horghagen, Sissel |
author_sort | Maass, Ruca |
collection | PubMed |
description | Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions. |
format | Online Article Text |
id | pubmed-7970166 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-79701662021-03-31 Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform Maass, Ruca Bonsaksen, Tore Gramstad, Astrid Sveen, Unni Stigen, Linda Arntzen, Cathrine Horghagen, Sissel Health Serv Insights Original Research Community-based occupational therapy is an increasingly important domain of work for occupational therapists. In Norway, this has been emphasized by the Coordination reform (2012), which assigned municipalities increased responsibility to protect and promote the health of their inhabitants. However, even if approximately 400 positions have been established between 2012 and 2017, little is known whether they have contributed to increased and/or more equal coverage across municipalities. To explore this matter, survey data was gathered among members of the Norwegian Occupational Therapy Association during 2017. Data was analyzed statistically (descriptive, comparative and associative) with SPSS 25. Results suggest large regional variations in the establishment of new positions. Moreover, most new positions were established in medium-sized municipalities that already had (an) occupational therapist(s) in the community. Number of prior positions, as well as being in the process of merging with another municipality were the only significant predictors for the establishment of new positions during regression analysis. Findings suggest that no levelling-out of geographical distributions of OT-coverage has occurred, even if new positions might have contributed to level-out workload (number-of-patients-per-therapist). Further, we discuss implications of our findings for policy-making and recruitment of Occupational Therapists for rural positions. SAGE Publications 2021-03-16 /pmc/articles/PMC7970166/ /pubmed/33795934 http://dx.doi.org/10.1177/1178632921994908 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Maass, Ruca Bonsaksen, Tore Gramstad, Astrid Sveen, Unni Stigen, Linda Arntzen, Cathrine Horghagen, Sissel Factors Associated with the Establishment of New Occupational Therapist Positions in Norwegian Municipalities after the Coordination Reform |
title | Factors Associated with the Establishment of New Occupational
Therapist Positions in Norwegian Municipalities after the Coordination
Reform |
title_full | Factors Associated with the Establishment of New Occupational
Therapist Positions in Norwegian Municipalities after the Coordination
Reform |
title_fullStr | Factors Associated with the Establishment of New Occupational
Therapist Positions in Norwegian Municipalities after the Coordination
Reform |
title_full_unstemmed | Factors Associated with the Establishment of New Occupational
Therapist Positions in Norwegian Municipalities after the Coordination
Reform |
title_short | Factors Associated with the Establishment of New Occupational
Therapist Positions in Norwegian Municipalities after the Coordination
Reform |
title_sort | factors associated with the establishment of new occupational
therapist positions in norwegian municipalities after the coordination
reform |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7970166/ https://www.ncbi.nlm.nih.gov/pubmed/33795934 http://dx.doi.org/10.1177/1178632921994908 |
work_keys_str_mv | AT maassruca factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT bonsaksentore factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT gramstadastrid factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT sveenunni factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT stigenlinda factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT arntzencathrine factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform AT horghagensissel factorsassociatedwiththeestablishmentofnewoccupationaltherapistpositionsinnorwegianmunicipalitiesafterthecoordinationreform |